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NABP Exam NAPLEX Topic 3 Question 89 Discussion

Actual exam question for NABP's NAPLEX exam

Question #: 89
Topic #: 3

[All NAPLEX Questions]

Your patient is a 43-year-old male who is experiencing post-operative voiding difficulty after an elective inguinal hernia repair. His post void residual volume was 280 cc.

Which of the following medications is the most appropriate choice of therapy for this patient?

ABethanechol

BOxybutynin

CPhenylephrine

DFinasteride

EImipramine

Show Suggested Answer

Suggested Answer: E

Cefazolin or an antistaphylococcal penicillin (oxacillin or nafcillin) is recommended for this patient because the C&S results indicate MSSA. Since the patient develops a rash to penicillins, it would be acceptable to use cefazolin in this case.

https://academic.oup.com/cid/article/59/2/e10/2895845/Practice-Guidelines-for-the-Diagnosis-and

by Winifred at Aug 22, 2024, 07:47 PM

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Aide

2 months ago

Oh man, this is a real bladder-buster! I'm gonna have to go with D) Finasteride. It's got that 'fin' in the name, so it must be the right choice, right? *wink wink*

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Margot

2 months ago

This is a tough one, but I think the answer is E) Imipramine. It's a tricyclic antidepressant that can also help with urinary retention. Gotta love those multi-purpose drugs!

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Nikita

5 days ago

I agree with you, E) Imipramine can definitely help with urinary retention. It's a good choice for this patient.

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Malcolm

13 days ago

I would go with B) Oxybutynin. It's an anticholinergic medication that can help relax the bladder muscles.

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Jesus

14 days ago

I think A) Bethanechol would be a better choice. It's a cholinergic agonist that can help with bladder emptying.

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Thurman

1 months ago

I believe the correct choice is E) Imipramine. It can help with urinary retention and has other benefits as well.

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Becky

1 months ago

I would go with B) Oxybutynin. It's an anticholinergic medication that can help relax the bladder muscles.

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Reuben

2 months ago

I think the answer is A) Bethanechol. It's a cholinergic agonist that can help with urinary retention.

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Alesia

2 months ago

I'm going to have to go with A) Bethanechol. It's a cholinergic agent that can help stimulate bladder contractions and improve voiding.

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Gail

1 months ago

I think Bethanechol is the best option for this patient's post-operative voiding issue.

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Jettie

2 months ago

I agree, Bethanechol can definitely help with voiding difficulty.

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Keena

2 months ago

Bethanechol is a good choice for improving bladder contractions.

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Antonio

2 months ago

Hmm, this seems like a tricky one. I'm leaning towards B) Oxybutynin since it's commonly used to treat urinary retention, but I'm not 100% sure.

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Alise

28 days ago

That's true, Bethanechol can help with bladder emptying. It could be a good choice too.

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Veronika

2 months ago

But wouldn't A) Bethanechol also be a good option for post-operative voiding difficulty?

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Graciela

2 months ago

I agree, Oxybutynin is commonly used for urinary retention.

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Anglea

2 months ago

I think B) Oxybutynin could be a good choice for this patient.

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Rory

3 months ago

Why do you think Oxybutynin is a better choice?

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Hildegarde

3 months ago

I disagree, I believe Oxybutynin would be a better option for him.

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Rory

3 months ago

I think the most appropriate choice of therapy for this patient is Bethanechol.

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